Individual
DR. PAUL FRED IVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
145 N WATER ST, WEST NEWTON, PA 15089-1500
(724) 872-5621
(724) 872-6660
Mailing address
145 N WATER ST, WEST NEWTON, PA 15089-1500
(724) 872-5621
(724) 872-6660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001122
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001617760
HIGHMARK BCBS
PA
01
—
0016651
DORAL
PA
05
—
1036189
—
PA
01
—
201215
UPMC
PA
01
—
3501749
AETNA
PA
01
—
35415
ADVANTRA
PA
01
—
35419
HLTH ASSURANCE/HLTH AMER.
PA
01
—
396038
NVA
PA
01
—
542145620
VISION SERVICE PLAN
PA
01
—
5463570001
DME REGIONAL CARRIER
PA
01
—
5620390
CIGNA
PA
01
—
P00155884
PALMETTO GBA RR MEDICARE
PA
01
—
PA96116
VISION BENEFITS OF AMER.
PA
Enumeration date
08/22/2005
Last updated
03/12/2010
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